Impact of the COVID-19 Pandemic in the Prevalence of Burnout among Residents in Orthopedics

Barreto, Tainara Machado; Tavares, Matheus Rizério; Azi, Matheus Lemos; Azi, Liana Maria Torres Araujo; Sadgursky, David; Alencar, Daniel

doi:10.1055/s-0041-1729932

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Original Articles • Rev. bras. ortop. 57 (01) • 2022 • https://doi.org/10.1055/s-0041-1729932 copy

Impact of the COVID-19 Pandemic in the Prevalence of Burnout among Residents in Orthopedics^* * Study conducted at Hospital Manoel Victorino, Salvador, BA, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

The primary objective of the present study is to assess the impact of the COVID-19 pandemic on the prevalence of burnout syndrome among residents in orthopedic surgery. As a secondary objective, characteristics associated with the risk of developing the severe form of the syndrome were assessed.

Method

In the present cross-sectional study, graduating orthopedic residents were evaluated before and during the COVID-19 pandemic. Medical students formed a control group. The participants answered a sociodemographic questionnaire, the Maslach Burnout Inventory, and the Brazilian validated version of the 36-item short-form health survey questionnaire (SF-36). Fifty-two residents were appraised before the pandemic and 19 during the pandemic.

Results

Forty-four (84.6%) residents fulfilled the criteria for burnout syndrome, and the severe form of the syndrome was present in 16 (30.7%). There was no significant change in the evaluated scores after the beginning of the COVID-19 pandemic. There was also no increase in the prevalence of burnout syndrome or of the severe form of the syndrome. A negative correlation was observed between SF-36 items and the development of the severe form of burnout syndrome.

Conclusion

The prevalence of burnout syndrome and of the severe form of the disease was very high among residents in orthopedic surgery. The COVID-19 outbreak does not increase burnout in the residents.

Keywords
occupational health physicians; burnout syndrome; burnout, professional; medical field training; orthopedics

	n (%)	Training year	n (%)
Before the pandemic	75 (80%)
Medical student			23 (31%)
		4^th	21
		6^th	2
Residents from the hospital training program			33 (44%)
		1^st	15
		2^nd	7
		3^rd	11
Visiting residents			19 (25%)
		1^st	10
		2^nd	8
		3^rd	1
During the pandemic	19 (20%)
Residents from the hospital training program			17 (89%)
		1^st	7
		2^nd	5
		3^rd	5
Visiting residents			2 (11%)
		2^nd	1
		3^rd	1

Study group	Residents Pre Mean ± SD (range) n (%)	Residents during Mean ± SD (range) n (%)	p-value
Participants	52 (73.2%)	19 (26.7%)
Age (years old)	29.8 ± 3.5 (24-38)	31 ± 4.6 (26-46)	0.36^a a Wilcoxon Mann-Whitney test.
Gender (male)	49 (94.2%)	13 (68.4%)	0.00^b b Ficher's exact.
Birthplace (local)	34 (65.3%)	12 (63.1%)	1.00^b b Ficher's exact.
Marital status (single)	37 (71.1%)	11 (57.8%)	0.39^b b Ficher's exact.
Children (no)	44 (84.6%)	15 (78.9%)	0.72^b b Ficher's exact.
Training year (1^st)	25 (48%)	7 (36.8%)	0.69^b b Ficher's exact.
Work hours (> 120h/week)	43 (82.6%)	9 (50%)	0.00^b b Ficher's exact.
Night shift (yes)	34 (65.3%)	14 (73.6%)	0.57^b b Ficher's exact.
Other graduation (no)	43 (82.6%)	14 (73.8%)	0.50^b b Ficher's exact.
Habitation (with parents)	21 (40.3%)	7 (38.8%)	0.06^b b Ficher's exact.
Give up (no)	31 (59.6%)	11 (57.8%)	1.00^b b Ficher's exact.
Study hours (> 6h/week)	28 (53.8%)	5 (26.3%)	0.05^b b Ficher's exact.
Recreation hours (> 6h/week)	16 (30.7%)	3 (15.7%)	0.24^b b Ficher's exact.
Change career (no)	42 (80.7%)	16 (88.8%)	0.71^b b Ficher's exact.

Study group	Residents Pre n (%)	Residents post n (%)	p-value
MBI_EE > 27	36 (69.2%)	10 (52.6%)	0.26^a a Ficher's exact test.
MBI_DE > 10	24 (46.1%)	9 (47.3%)	1.00^a a Ficher's exact test.
MBI_PA < 40	34 (65.3%)	14 (73.6%)	0.57^a a Ficher's exact test.
Prevalence burnout	44 (84.6%)	17 (89.4%)	0.71^a a Ficher's exact test.
Severe burnout	16 (30.7%)	6 (31.5%)	1.00^a a Ficher's exact test.

SF-36 domains	No severe burnout Mean ± SD	Severe burnout Mean ± SD	p-value
Physical functioning	91.2 ± 11.1	81.1 ± 20.1	0.04^a a Wilcoxon Mann-Whitney test.
Role physical	64.7 ± 37.1	40.9 ± 38.2	0.01^a a Wilcoxon Mann-Whitney test.
Body pain	74.4 ± 20.5	63 + 21.2	0.02^a a Wilcoxon Mann-Whitney test.
General health	76.1 ± 18.2	55.5 ± 18.8	0.00^a a Wilcoxon Mann-Whitney test.
Vitality	55.6 ± 20.5	38.4 ± 17.2	0.00^a a Wilcoxon Mann-Whitney test.
Social functioning	67.3 ± 25.5	50.3 ± 18.1	0.00^a a Wilcoxon Mann-Whitney test.
Role emotional	57.7 ± 38.4	40.8 ± 39.7	0.09^a a Wilcoxon Mann-Whitney test.
Mental health	69.7 ± 17.8	53.2 ± 17.8	0.00^a a Wilcoxon Mann-Whitney test.

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

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[1] Address for correspondence Matheus Lemos Azi, MD, Ph.D, Hospital Manoel Victorino, Secretary of Health for the State of Bahia, Conselheiro Almeida Couto square, S/N, Salvador, Bahia, 40050-410, Brasil (e-mail: mlazi@hotmail.com).

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Impact of the COVID-19 Pandemic in the Prevalence of Burnout among Residents in Orthopedics* * Study conducted at Hospital Manoel Victorino, Salvador, BA, Brazil.

Abstract

Objective

Method

Results

Conclusion

Impact of the COVID-19 Pandemic in the Prevalence of Burnout among Residents in Orthopedics^* * Study conducted at Hospital Manoel Victorino, Salvador, BA, Brazil.